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10-22-09 - Historical development as a concept newest area...

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10-22-09 Historical development as a concept: - newest area - 1801: Penel introduced concept “mani sans delire” to describe group of individuals who were o non-psychotic o Irrational behavior – no reasons for someone to behave in a certain way o Intact powers of intellect – absence of psychosis, normal intelligence o Prior to this, anyone w/ irrational behavior was viewed to have psychotic characteristics - 1837: Pritchard wrote book “Treatis on Insanity” o Used concept “moral insanity” o Describing groups of patients who showed morbid perversion of natural feelings – disturbed emotional responses and disturbed habits o A mad disposition - emotional rxn was not connected to logic (eg: being afraid when theres nothing to be afraid of) o w/out any remarkable disorder of knowing and reasoning – group of patients who’s emotional responses are not related to the situation Comprehension was intact and reasoning (figuring out the situation) is okay (??) they understand the situation but their reaction to the situation is off-key - Freud: opinion that personality (character) is result of unconscious conflicts that express themselves in disturbance of emotional/ behavioral responses Definition of Personality Disorder - good consensus of how to define - severity: more severe/disturbed than neurotics - adaptive impairment – poor ability to deal w/ world’s demands - consistent w/ self concept (but neurotics aren’t happy w/ themselves) - ego-sentonic - Millon: 1981 – argued that personality disorder is deeply etched and pervasive characteristic of functioning that unfolds/develops as product of interplay of constitutional and experiencial influences o Not superficial, minor problem – much deeper and thoroughly ingrained in character o Pervasive – not something that shows up at certain times, shows up EVERYWHERE and with EVERYONE; however patient approaches life, it’s pervasive o Interplay – constitutional factors (genetic inheritance) and experiencial (environment) combines together to make up person To some degree, demeanor and temperament is inherited Determines how rxn to experiencial things unfold o Characterizes: all display 3 primary features
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1. adaptive inflexibility – individual’s are not flexible and don’t change behavior to adapt from one situation to another situation
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